Organization
PLEASANT VALLEY NURSING, LLC
Active
Other names
Pleasant Valley Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES REIKER (TREASURER)
(573) 471-1113
Entity
Organization
Contact information
Practice address
613 E ELM ST, SEDAN, KS 67361-1406
(620) 725-3153
(620) 725-5536
Mailing address
613 E ELM ST, SEDAN, KS 67361-1406
(620) 725-3153
(620) 725-5536
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N010002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100110180
—
KS
Enumeration date
07/07/2005
Last updated
01/29/2013
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